评估慢性疾病服务质量的工具:范围审查
Gutembergue Santos de Sousa1, Fabiane Verônica da Silva1, Fabiana Gulin Longhi2
1Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil.
Revista latino-americana de enfermagem
|August 21, 2024
概括
对初级医疗保健质量的验证仪器对于高血压和糖尿病等慢性疾病来说很少. 需要更具体的工具来准确评估这些条件下的服务质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健质量评估质量评估
- 慢性疾病管理 慢性疾病管理
背景情况:
- 对初级医疗保健 (PHC) 服务的有效质量评估对于管理慢性疾病至关重要.
- 关于在慢性疾病中检测PHC质量的验证仪器的现有文献需要进行全面的映射.
- 系统性动脉高血压,糖尿病,麻风和结核病代表了严重的慢性疾病负担.
研究的目的:
- 系统地绘制有关用于评估PHC服务质量的仪器有效性的科学文献.
- 专注于慢性疾病,包括全身性动脉高血压,糖尿病,麻风和结核病.
- 确定现有质量评估工具的验证中存在的差距.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 在13个数据库和灰色文献来源中进行了搜索.
- 研究选择涉及删除重复和单个/配对评估,使用详细的脚本提取数据.
主要成果:
- 对28项研究的分析显示,来自巴西,中国和马来西亚的研究占主导地位.
- 大约一半的验证仪器是通用仪器;专注于糖尿病和麻风的特定仪器.
- 确定的主要验证类型是内容和构造验证.
结论:
- 对于慢性疾病中PHC质量的仪器验证研究显著稀缺,需要开发特定的仪器.
- 有新的研究潜力,涉及慢性病患者护理评估 (PACCI) 和初级护理评估工具 (PCAT) 的调整.
- 没有确定用于评估18岁以下个体的慢性疾病的仪器.
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